Provider Demographics
NPI:1477605855
Name:CHESTER, JOSEPH WILLIAM III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:CHESTER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 HIGHLAND TERRACE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-3068
Mailing Address - Country:US
Mailing Address - Phone:330-505-9668
Mailing Address - Fax:330-505-9662
Practice Address - Street 1:140 HIGHLAND TERRACE BLVD
Practice Address - Street 2:SUITEC
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-3068
Practice Address - Country:US
Practice Address - Phone:330-505-9668
Practice Address - Fax:330-505-9662
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18012122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist